Key result
Surgical thrombectomy successfully restored normal mechanical valve function in a pregnant woman with mechanical aortic valve thrombosis, with mother and child remaining well at 5-year follow-up.
Why the study?
Young women with congenital heart disease needing valve surgery face difficult valve choices and serious complication risks during pregnancy.
Case Report (n=1)
Surgical thrombectomy can successfully manage mechanical aortic valve thrombosis during early pregnancy with good long-term maternal and fetal outcomes.
Answers are grounded in this paper and cite their sources.
Surgical thrombectomy may be feasible for early-pregnancy valve thrombosis; leaves open need for prospective data before broader adoption.
Introduction. If young women with congenital heart disease need heart valve surgery, it is necessary to thoroughly consider the choice of the valve and the risks of serious complications during pregnancy. Case Report. We report a case of a woman who presented with a pregnancy complicated by mechanical aortic valve thrombosis at the end of the first trimester. After a thorough evaluation by a multidisciplinary team, the patient underwent surgical thrombectomy and normal mechanical valve function was restored. At 36 weeks of gestation, planned cesarean section was performed. The mother and the child remained well during the 5-year follow-up. Conclusion. Mechanical heart valves in pregnancy carry a very high risk of complications. An individualized approach is needed in the management of women with mechanical valves, as well as uniform antenatal care in centers that provide complete care from pregnancy planning to delivery.
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Andrić et al. (2022) conducted a case report in Mechanical aortic valve thrombosis during pregnancy (n=1). Surgical thrombectomy was evaluated. Surgical thrombectomy successfully restored normal mechanical valve function in a pregnant woman with mechanical aortic valve thrombosis, with mother and child remaining well at 5-year follow-up.
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